| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.53 | $103.53 | $103.53 | |
Aetna
| Professional | $85.42 | $99.48 | $117.28 | |
Ambetter
| Professional | $97.39 | $97.39 | $97.39 | |
Anthem BCBS
| Professional | $105.90 | $125.70 | $178.49 | |
Cigna
| Facility | $118.31 | $118.31 | $118.31 | |
Cigna
| Professional | $92.85 | $92.85 | $161.72 | |
United
| Professional | $91.06 | $112.60 | $176.81 |